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Supplementary MBBS III (Third) Professional Part-1 Examination 2013-14 Course Code:MBS303 Paper ID: S313129 ENT Time: 2 Hours 40 Minutes Max Marks: 30 Note: Attempt all questions. Draw proper diagrams to support your answer. Part ‘B’ 1. What are nasal polyps? Describe their pathology and treatment. (5) 2. What are the indications of tonsillectomy? Describe the steps of tonsillectomy. (5) 3. a) b) Write short notes on the following: Vocal nodules Rhinoscleroma (2) (3) Part ‘C’ 1. What is Otosclerosis? Describe the pathology and treatment of otosclerosis. (8) 2. a) b) Write short notes on: Griesinger’s sign Tracheostomy (3) (4) Supplementary MBBS III (Third) Professional Part-1 Examination 2013-14 Roll No. Student’s Name Student’s Signature Invigilator’s Signature Course Code:MBS303 Paper ID: S313129 ENT Part ‘A’ Time: 20 Minutes Max Marks: 10 Note: 1. Attempt all questions and return this part of the question paper to the invigilator after 20 Minutes. 2. Please tick (√) correct one only. Cutting, overwriting or any other marking are not allowed. 3. For answering please use Ball- pen only. Q.1 The patient gives history of paroxysmal sneezing, watery nasal discharge, itching in nose and eyes and nasal blockage on exposure to dust. The most probable diagnosis and treatment is: a) Allergic rhinitis with local steroids b) Acute rhinitis with systemic antibiotics c) Vasomotor rhinitis with local steroids d) Allergic rhinitis with antiallergics Q.2 Patient gives the history of nasal blockage and bad odor from nose. On examination it is found that his nasal cavities are roomy and full of crusts. The treatment of this is: a) Alkaline nasal douching and 25% gulucose in glycerine b) Young’s Operation c) Estradiol d) All of the above Q.3 A 25 year old patient gives the history of prolonged bilateral nasal blockage. On examination we find a pale fleshy mass which does not bleed on touch. The probable diagnosis is: a) Rhinosporidiosis b) Nasal polyp c) Rhinosclerosis d) Angiofibroma Q.4 The 20 year old patient gives history of severe pain in left ear since last 3 days and 1010 F fever. On examination it is found that tympanic membrane is congested and bulging. The most probable diagnosis and its treatment is: a) Acute otitis media, systemic antibiotics and drainage by myringotomy if pain and fever continue b) c) d) Acute otitis media, local antibiotics and drainage by myringotomy if pain and fever continue Acute otitis media, analgesics and drainage by myringotomy if pain and fever continue Acute otitis externa, mixed anti-fungal and antibiotic ear drops Q.5 The patient complaints of vertigo, nausea and vometing on travelling on a ship. On performing Dix-Hallpike Maneuver he has no vertigo and nystagmus. Other tests of balance performed later are also normal. This patient can be best treated by: a) Cinnarizine/Scopolamine/ Dimenhydrate / Meclizine b) Cinnarizine/Scopolamine/ Dimenhydrate / Betahistidine c) Cinnarizine/Scopolamine/ Dimenhydrate / Metaclopramide d) Cinnarizine/Scopolamine/ Dimenhydrate / Cisapride Q.6 A patient has acute pain in left ear. On examination the pinna is warm and shows tenderness while the external auditory canal and tympanic membrane are normal. The most probable diagnosis and treatment is: a) Acute otitis media with analgesics b) Acute otitis externa with antibiotic ear drops c) Impacted wax with organic solvents d) Perichondritis of pinna with ceftazidime and analgesics P.T.O. Q.7 Q.8 Q.9 Q.10 Cricothyroid muscle is supplied by: a) Superior laryngeal nerve b) Recurrent laryngeal nerve c) Both of the above d) None of the above A 70 year old patient presents with right sided lower motor neuron facial nerve palsy, medial squint in right eye and hemiparasis. The most probable diagnosis is: a) Midbrain space occupying lesion b) Pons space occupying lesion c) Internal Capsule space occupying lesion d) Cerebellar space occupying lesion A 6 year child presents with severe dyspnoea and cyanosis. The diagnosis could be all except:: a) Epiglottitis b) Foreign body in airway c) Acute Bronchiolitis d) Laryngomalacia Indications of septoplasty are all except: a) Deviated nasal septum without nasal blockage b) Deviated nasal septum with nasal blockage c) Deviated nasal septum with anterior ethmoidal syndrome d) Deviated nasal septum with rhinosinusitis Q.11 All of the fallowing are the causes of tinnitus except: a) Wax b) Palatal myoclonus c) Temporal lobe epilepsy d) None Q.12 Which of the fallowing arteries supply Little’s Area except: a) Anterior ethmoidal artery b) Superior labial artery c) Posterior ethmoidal artery d) Sphenopalatine artery Q.13 Commonest malignancy of larynx is: a) Squamous cell carcinoma b) Adenocarcinoma c) Spindle cell tumor d) Lymhposarcoma Q.14 Fallowing strap muscles are the depressors of larynx except: a) b) c) d) Sternothyroid Sternohyoid Cricothyroid Omohoiyd Q.15 What is the function of saliva: a) Lubrication of food b) Bacteriostatic c) Carbohydrate digestion d) All of the above Q.16 The terminal branches of the facial nerve are: a) Temporal, Zygomatic, Buccal, Mandibular, Cervical b) Temporal, temporo-zygomatic, Buccal, Mandibular, Cervical c) Temporal, Zygomatic, Buccal, Mandibular, Cervico-facial d) Temporal, Zygomatic, Buccal, Mandibulo-cervical Q.17 Structures related to in the lateral wall of sphenoid sinus are: a) Occulomotor nerve b) Trochlear nerve c) Abducent nerve d) All of the above Q.18 All of except: a) b) c) d) the fallowing can cause exophthalmos Fungal rhinosinusitis Atrophic rhinitis Frontal mucocele Bacterial rhinosinusitis Q.19 Basic steps of endoscopic sinus surgery are best described as: a) Infundibulotomy anterior ethmoidectomy Frontal sinus clearance middle meatal antrostomy posterior ethmoidectomy b) Frontal sinus clearance anterior ethmoidectomy middle meatal antrostomy posterior ethmoi-dectomy c) Anterior ethmoidectomy middle meatal antrostomy posterior ethmoidectomy Frontal sinus clearance d) Frontal sinus clearance middle meatal antrostomy posterior ethmoidectomy Q.20 Structures included in the Waldeyer’s Ring are all accept: a) Adenoids b) Lingual tonsils c) Tubal tonsils d) Pre-auricular lymph nodes